Written Answers Monday 9 August 2010

Scottish Executive

Charities

Rhoda Grant (Highlands and Islands) (Lab): To ask the Scottish Executive what charities have deregistered in each local authority area since May 2007; which of these were deregistered by the Office of the Scottish Charity Regulator, and how many deregistered on a voluntary basis.

Rhoda Grant (Highlands and Islands) (Lab): To ask the Scottish Executive which of those charities that have voluntary deregistered since May 2007 were under notice to deregister.

Rhoda Grant (Highlands and Islands) (Lab): To ask the Scottish Executive what the reasons are for voluntary deregistration of charities.

Fergus Ewing: This information is not held centrally. The Office of the Scottish Charity Regulator is an independent body and the member should approach them directly.

Charities

Rhoda Grant (Highlands and Islands) (Lab): To ask the Scottish Executive when it will carry out a review of the role of the Office of the Scottish Charity Regulator.

Fergus Ewing: The Scottish Government has made a commitment to carry out a fullscale review of the Charities and Trustee (Scotland) Act 2005 within ten years of its commencement date of April 2006. I anticipate this will include a review of the role of the Office of the Scottish Charity Regulator.

Charities

Rhoda Grant (Highlands and Islands) (Lab): To ask the Scottish Executive what steps it has taken to simplify charity regulation and registration.

Fergus Ewing: The Scottish Government and the Office of the Scottish Charity Regulator (OSCR) continue to monitor the effectiveness of the Charities and Trustee Investment (Scotland) Act 2005 and regulations under it.

  We have recently taken forward, by means of the Public Services Reform (Scotland) Act 2010, a number of OSCR’s recommendations for changes to the Charities and Trustee Investment (Scotland) Act 2005. The Charities Accounts (Scotland) Amendment Regulations 2010, which were laid before Parliament on 27 July 2010, amend the accounting rules for charities, including increasing the threshold for preparation of fully accrued accounts from £100,000 to £250,000. These changes aim to simplify or reduce charity regulation.

  OSCR intends to introduce a new integrated reported regime which aims to simplify reporting processes for charities.

Criminal Justice and Licensing (Scotland) Bill

Richard Baker (North East Scotland) (Lab): To ask the Scottish Executive when the provisions in the Criminal Justice and Licensing (Scotland) Bill for a presumption against custodial sentences of three months or less will come into force.

Kenny MacAskill: I will inform Parliament once a decision has been taken on the date on which the relevant provisions will come into force.

Health

Patrick Harvie (Glasgow) (Green): To ask the Scottish Executive whether it expects local authorities to find support services for disabled people who (a) reside in the local authority area or (b) come from the local authority area but reside in another.

Shona Robison: The Scottish Government expects all local authorities to have a range of services in place to meet the needs of its local population.

  Under the Social Work (Scotland) Act 1968, Scottish local authorities have a duty to provide community care services within their area. Eligibility for such services arises from the physical presence of an individual in the local authority area and from that individual being assessed as having a need that calls for the provision of a service.

  A local authority may, therefore, be responsible for providing care to someone in its area who is ordinarily resident elsewhere. Section 86 of the 1968 Act and related regulations provide for certain expenditure incurred in so doing to be recoverable from the local authority in whose area the individual is ordinarily resident.

  In a similar way Scottish Government expects local authorities to meet the housing support needs of all individuals currently living in their area but, where relevant, to be able to claim back such expenses from the local authority in which the individual ordinarily resides.

  A circular published by the Scottish Government in March 2010 contains revised guidance on ordinary residence in relation to the recovery of the expenditure on accommodation and services provided under the 1968 Act and can be found at the following link (Circular CCD 3/2010). It contains guidance only and is not intended to be a definitive interpretation of the law, which is a matter for the Courts. Local authorities are, however, encouraged to follow the guidance to help achieve consistency and equity across Scotland. http://www.sehd.scot.nhs.uk/publications/CC2010_03.pdf

  The guidance also sets out new procedures for resolving disputes when local authorities cannot reach agreement as to which local authority is liable for the costs, and proposes transitional arrangements to help with voluntary moves.

Health

Jeremy Purvis (Tweeddale, Ettrick and Lauderdale) (LD): To ask the Scottish Executive how much it has spent on (a) NHS distinction awards and (b) pension contributions under this scheme since May 2007.

Nicola Sturgeon: (a) The information requested was given previously in the answer to question S3W-30548 on 18 January 2010. For ease of reference the information is as follows:

  

 Financial Year
Funding allocated to boards for Distinction Awards (£)


2007-08
24,164,310


2008-09
26,460,756


2009-10
27,961,798



  (b) The amounts shown include an element to cover the employers’ costs including pensions contributions. Information relating specifically to the spend on pension contributions is not available.

  You should also be aware that this year I accepted the UK Doctors’ and Dentists’ Review Body (DDRB) recommendation that the value of the awards should not be increased in 2010-11 but rejected their recommendation that the Scottish Advisory Committee on Distinction Awards (SACDA) should have flexibility to determine the number of national awards to be made at each level in 2010-11. This also means that there will be no net increase in the overall numbers of awards available in the 2010 award round. The only "new" distinction awards that will be available are those that can be funded by cash released by those who retire or leave the service. This alone will realise savings of around £2 million this year.

  As you know I am firmly of the view that a fundamental review of the distinction award schemes across the UK is required. That is why I have again written to my counterparts in the UK Health Departments seeking their agreement to a Four Nations Review of the schemes. I am waiting for their replies before deciding my course of action.

Health

Nanette Milne (North East Scotland) (Con): To ask the Scottish Executive when it plans to publish its response to the Consultation on the terms of the tenders to be issued for the provision of stoma appliances to NHS Scotland for the period 2010-12.

Nicola Sturgeon: I expect to receive advice from officials this month on the outcome of the consultation. The Scottish Government’s response will be published thereafter.

Health

Nanette Milne (North East Scotland) (Con): To ask the Scottish Executive what impact the findings of the Consultation on the terms of the tenders to be issued for the provision of stoma appliances to NHS Scotland for the period 2010-12 will have on the employment of clinical nurse specialists

Nicola Sturgeon: The findings of the consultation on the terms of the tenders to be issued for the provision of stoma appliances to NHS Scotland will have no direct impact on the employment of clinical nurse specialists (CNS) as CNS staff are employees of NHS boards.

Health

Nanette Milne (North East Scotland) (Con): To ask the Scottish Executive whether it has evaluated the impact of compensatory discounts as proposed in the Consultation on the terms of the tenders to be issued for the provision of stoma appliances to NHS Scotland for the period 2010-12 on the choice available to patients for stoma services and care.

Nanette Milne (North East Scotland) (Con): To ask the Scottish Executive whether it has evaluated the impact of volume discount claw-back scales as proposed in the Consultation on the terms of the tenders to be issued for the provision of stoma appliances to NHS Scotland for the period 2010-12 on the choice available to patients for stoma services and care.

Nanette Milne (North East Scotland) (Con): To ask the Scottish Executive whether it has evaluated the impact of retrospective volume discount schemes as proposed in the Consultation on the terms of the tenders to be issued for the provision of stoma appliances to NHS Scotland for the period 2010-12 on the choice available to patients for stoma services and care.

Nicola Sturgeon: The Scottish Government does not consider that there would be any negative impact upon the choice available to patients for stoma services and care arising from the proposals in Consultation on the terms of the tenders to be issued for the provision of stoma appliances to NHS Scotland for the period 2010-12 . The service model continues to accommodate multiple suppliers and stoma appliance manufacturers would remain able to respond to the forthcoming tender by pricing their products as they see fit but within a more transparent framework intended to help NHS boards deliver optimal value for money in the provision of this service.

Health

Nanette Milne (North East Scotland) (Con): To ask the Scottish Executive for what reason the Consultation on the terms of the tenders to be issued for the provision of stoma appliances to NHS Scotland for the period 2010-12 proposes a global sum in respect of the remuneration paid to stoma services contractors for appliance dispensing set at 2006-07 levels.

Nicola Sturgeon: I refer the member to the answer to question S3W-34658 on 30 June 2010. All answers to written parliamentary questions are available on the Parliament’s website, the search facility for which can be found at http://www.scottish.parliament.uk/Apps2/Business/PQA/Default.aspx .

Health

Nanette Milne (North East Scotland) (Con): To ask the Scottish Executive whether it has evaluated the impact of the proposals contained in the Consultation on the terms of the tenders to be issued for the provision of stoma appliances to NHS Scotland for the period 2010-12 on the commercial viability of stoma appliance manufacturers and suppliers.

Nicola Sturgeon: The Scottish Government does not consider that there would be any negative impact upon the commercial viability of stoma appliance manufacturers and suppliers arising from the proposals in Consultation on the terms of the tenders to be issued for the provision of stoma appliances to NHS Scotland for the period 2010-12 .

  There are currently approximately 1,460 stoma service suppliers. It will be for each to consider whether it wishes to continue to provide the service.

Health

Margaret Mitchell (Central Scotland) (Con): To ask the Scottish Executive how many cases of cryptosporidiosis have been identified in each NHS board area in each year since 2005.

Nicola Sturgeon: The following table shows incidence of cryptosporidiosis by board area. In Tayside in 2005 there was an outbreak of cryptosporidiosis linked to Auchingarrich Wildlife Centre in Perthshire which increased the figures. Greater Glasgow and Argyll and Clyde health boards merged in 2006 and therefore 2005 and 2006 figures have been amalgamated from both health boards.

  

 
2005
2006
2007
2008
2009


Ayrshire and Arran
8
25
29
34
50


Borders
28
23
16
24
27


Dumfries and Galloway
32
22
39
51
47


Fife
37
41
18
20
20


Forth Valley
34
25
29
17
21


Grampian
102
60
77
96
102


Greater Glasgow and Clyde 
99*
141*
82
81
94


Highland 
48
29
38
29
30


Lanarkshire
53
53
56
52
76


Lothian
135
91
60
110
109


Orkney
2
5
6
5
6


Shetland
0
0
2
0
0


Tayside
130**
97
59
84
74


Western Isles
1
0
0
0
0


Total
709
612
511
610
656



  Notes:

  *Denotes amalgamated figures for both Argyll and Clyde/Greater Glasgow Health Boards

  **Denotes preponderance of cases from Auchengarrich outbreak.

Health

Margaret Mitchell (Central Scotland) (Con): To ask the Scottish Executive what guidelines it is aware of on measures that should be taken to reduce the incidence of cryptosporidiosis in public facilities such as swimming pools.

Shona Robison: The Health and Safety Executive has produced guidance entitled Managing health and safety in swimming pools . The guidance provides details on filtration, disinfection and hygiene standards which should be observed in order to reduce cryptosporidiosis incidence in pools.

  In addition to the Health and Safety Executive guidance, the Pool Water Treatment Advisory Group (PWTAG) is an independent group with membership from various statutory, voluntary and professional organisations with an interest in pool water treatment and pool users. PWTAG have also published guidance entitled Swimming Pool Water, treatment and quality standards for pools and spas. This document is a good practice guide used by pool operators and others and contains information on the reduction of cryptosporidiosis.

Justice

James Kelly (Glasgow Rutherglen) (Lab): To ask the Scottish Executive when the National Community Safety Strategic Group was created; how many times the group has met, and on what dates.

Fergus Ewing: The National Community Safety Strategic Group was formed in February 2008.

  It has met five times, on the following dates: 26 February 2008; 4 December 2008; 18 May 2009; 9 November 2009, and 17 May 2010. Minutes of the meetings are available on our website at: www.scotland.gov.uk/communitysafety.

Justice

James Kelly (Glasgow Rutherglen) (Lab): To ask the Scottish Executive whether an implementation group to oversee the delivery of the Promoting Positive Outcomes Implementation Plan has been established and, if so, on what dates it has met.

Fergus Ewing: The delivery of the Promoting Positive Outcomes Implementation Plan is overseen by the National Community Safety Strategic Group. This group, which includes a range of strategic partners, including COSLA and ACPOS, meets twice a year and has met on two occasions since publication of the Plan, on 9 November 2009 and 17 May 2010.

  Operational groups have also been established to oversee delivery, including the Antisocial Behaviour Communications Steering Group, which has met four times, on 9 September 2009, 23 November 2009, 26 February 2010 and 14 June 2010. A range of practitioner groups from the community safety sector have also been involved.

NHS Hospitals

Ross Finnie (West of Scotland) (LD): To ask the Scottish Executive how many people aged 65 and over were admitted to hospital as a result of malnutrition in (a) 2007-08 and (b) 2008-09, broken down by NHS board.

Nicola Sturgeon: Centrally held data can provide some information for patients where malnutrition is identified on their hospital records. However, malnutrition will often not be the principal reason for admission to hospital but will be a co-morbidity or consequence of a more serious condition. Malnutrition may be recorded on a hospital record if it is clinically identified as an active problem requiring significant investigation while the patient is in hospital; or if it is present when the patient is admitted and requires routine management. As there is no standard group of diagnosis codes to identify malnutrition, the definition of malnutrition employed in this analysis includes diagnoses of anorexia nervosa, nutritional deficiencies (e.g. vitamin A, thiamine and calcium deficiencies), nutritional anaemias and malnutrition related diabetes mellitus.

  The answer is given in the following table:

  Table 1: Number of patients aged 65 years and over, treated in acute hospitals in Scotland, who have a recorded diagnosis of malnutrition; by NHS board of residence; financial years 2007-08 and 2008-09.

  

NHS Board of Residence
2007-08
2008-09


NHS Ayrshire and Arran
61
65


NHS Borders
30
38


NHS Dumfries and Galloway
85
61


NHS Fife
85
67


NHS Forth Valley 
16
32


NHS Grampian
73
68


NHS Greater Glasgow and Clyde
215
166


NHS Highland
48
67


NHS Lanarkshire
66
70


NHS Lothian
292
305


NHS Tayside
47
50


NHS Island Boards
9
16


All Scotland
1,027
1,005



  Source Information Services Division (ISD), Scottish morbidity record 01 (SMR 01).

  These statistics are derived from the ISD linked database containing linked discharge records from non-obstetric and non-psychiatric hospitals in Scotland (SMR01). The figures shown should be treated with caution because they show the instances where malnutrition is recorded on a patient’s record regardless of the main reason for admission to hospital. Improvements in the completeness of coding (the number of diagnoses that are recorded) over the time period reported may artificially increase the number of recorded cases of malnutrition on hospital records year on year. For both 2007-08 and 2008-09, over 80% of the patients have nutritional deficiency, nutritional anaemia or anorexia nervosa diagnosis codes recorded rather than the more severe malnutrition codes.

  Note that the figures in these tables may not correspond exactly with figures released previously. This is because databases are continually updated and corrected. Data for 2009-10 is not complete at this time and is, as yet, unpublished. Data for 2009-10 will be available from 28 September 2010.

NHS Hospitals

Ross Finnie (West of Scotland) (LD): To ask the Scottish Executive what the 28-day hospital readmission rate has been from a (a) surgical and (b) medical speciality in each year since 2005, broken down by NHS board.

Nicola Sturgeon: The following tables show the 28-day hospital emergency readmission rate from surgical and medical specialities in each calendar year from 2005 to 2009, broken down by NHS board of residence.

  Table 1: Number of discharges from a surgical specialty with a subsequent emergency readmission within 28 days, and hospital emergency readmission rate as a percentage of all discharges by NHS Board of Residence; calendar years 2005 to 2009P:

  

Emergency readmissions and % of total discharges
2005
2006
2007
2008
2009P


No.
%
No.
%
No.
%
No.
%
No.
%


NHS Ayrshire and Arran
2,216
5.0
2,519
5.4
2,726
5.7
2,871
5.7
3,203
6.1


NHS Borders
578
5.4
637
6.1
718
6.5
776
7.0
740
6.7


NHS Dumfries and Galloway
811
4.7
792
4.2
878
4.5
919
4.5
944
4.4


NHS Fife
1,868
5.2
2,001
5.2
2,037
5.3
1,950
5.3
1,975
5.3


NHS Forth Valley 
1,461
5.7
1,476
5.6
1,656
6.4
1,493
6.1
1,553
6.2


NHS Grampian
2,422
5.2
2,535
5.2
2,632
5.4
2,551
5.0
2,844
5.0


NHS Greater Glasgow and Clyde
7,185
5.2
7,479
5.4
8,128
5.7
8,611
6.0
8,782
6.0


NHS Highland
1,783
5.1
1,807
5.1
1,873
5.0
1,839
4.9
1,915
4.9


NHS Lanarkshire
3,181
5.5
3,511
5.6
3,468
5.6
3,746
5.6
3,989
5.8


NHS Lothian
3,362
5.0
4,042
6.1
4,289
6.4
4,708
6.7
4,391
6.3


NHS Orkney Islands
140
5.1
109
3.9
149
5.0
144
4.9
119
3.9


NHS Shetland Islands
159
4.7
163
4.6
155
4.6
154
4.6
150
4.1


NHS Tayside
1,937
5.6
2,020
5.7
2,130
6.1
2,198
6.2
2,205
6.0


NHS Western Isles
150
4.2
122
3.1
169
4.1
189
4.4
208
4.4


All Scotland
27,253
5.2
29,213
5.4
31,008
5.7
32,149
5.7
33,018
5.7



  Table 2: Number of discharges from a medical specialty with a subsequent emergency readmission within 28 days, and hospital emergency readmission rate as a percentage of all discharges by NHS Board of Residence; calendar years 2005 to 2009P:

  

Emergency readmissions and % of total discharges
2005
2006
2007
2008
2009P


No.
%
No.
%
No.
%
No.
%
No.
%


NHS Ayrshire and Arran
3,871
8.9
4,267
9.6
5,132
11.3
4,851
10.7
5,068
11.0


NHS Borders
1,372
10.6
1,476
10.8
1,461
11.0
1,435
10.5
1,476
10.6


NHS Dumfries and Galloway
1,263
9.6
1,308
9.8
1,551
11.8
1,575
11.9
1,624
12.2


NHS Fife
3,135
8.1
3,467
8.4
3,909
9.8
3,643
9.4
3,672
9.3


NHS Forth Valley 
2,402
11.0
2,331
11.0
2,564
11.9
2,630
11.9
2,807
12.8


NHS Grampian
4,309
10.1
4,484
10.4
4,655
10.4
4,996
10.2
5,010
10.1


NHS Greater Glasgow and Clyde
12,594
9.4
13,871
9.7
15,052
10.2
15,739
10.3
15,874
10.1


NHS Highland
2,844
8.9
3,183
9.3
3,408
9.8
3,622
10.0
3,600
9.7


NHS Lanarkshire
5,683
8.7
6,310
9.3
6,481
9.2
6,752
9.4
6,970
9.6


NHS Lothian
6,881
9.6
8,741
11.6
10,155
13.2
8,963
11.5
8,272
10.5


NHS Orkney Islands
175
10.3
151
8.0
208
8.3
217
8.4
182
7.0


NHS Shetland Islands
163
9.4
219
12.9
155
9.6
166
10.0
147
9.1


NHS Tayside
4,357
10.8
4,655
11.5
4,674
12.1
4,574
11.2
4,767
12.8


NHS Western Isles
325
9.7
259
7.8
298
9.3
363
11.3
337
10.7


All Scotland
49,374
9.4
54,722
10.1
59,703
10.8
59,526
10.5
59,806
10.4



  Source: ISD Scotland.

  Notes:

  The basic unit of analysis for these figures is a continuous stay in hospital. Probability matching methods have been used to link together individual SMR01 hospital episodes for each patient, thereby creating "linked" patient histories. Within these patient histories, SMR01 episodes are grouped according to whether they form part of a continuous spell of treatment (whether or not this involves transfer between hospitals or even NHS boards).

  All discharges (defined as a continuous stay in hospital), which meet the selection criteria, are included in the analysis. Each discharge is then compared with the next admission to hospital for the same patient. If this subsequent admission occurs within 28 days of the date of discharge for the previous hospital stay and is coded as an emergency admission, it is selected as a relevant readmission.

NHS Hospitals

Ross Finnie (West of Scotland) (LD): To ask the Scottish Executive what the 28-day hospital readmission rate has been for people aged 65 and over from a (a) surgical and (b) medical speciality in each year since 2005, broken down by NHS board.

Nicola Sturgeon: The following tables show the 28-day hospital emergency readmission rate from surgical and medical specialities for people aged 65 and over in each calendar year from 2005 to 2009, broken down by NHS board of residence.

  Table 1: Number of discharges from a surgical specialty for people aged 65 and over with a subsequent emergency readmission within 28 days, and hospital emergency readmission rate as a percentage of all discharges by NHS board of residence; calendar years 2005 to 2009P:

  

Emergency readmissions and % of total discharges
2005
2006
2007
2008
2009P


No.
%
No.
%
No.
%
No.
%
No.
%


NHS Ayrshire and Arran
886
6.0
983
6.3
1,071
6.4
1,127
6.2
1,281
6.6


NHS Borders
208
5.9
223
6.5
226
6.5
256
7.0
258
7.0


NHS Dumfries and Galloway
332
5.0
321
4.3
412
5.0
411
4.9
456
5.0


NHS Fife
655
5.9
743
6.2
738
6.1
677
5.8
782
6.4


NHS Forth Valley 
577
6.6
587
6.3
609
6.7
546
6.6
566
6.5


NHS Grampian
851
6.7
887
6.4
916
6.7
876
6.1
975
5.4


NHS Greater Glasgow and Clyde
2,719
6.3
2,951
6.6
3,178
7.0
3,307
7.1
3,222
6.9


NHS Highland
765
6.3
757
5.9
794
5.8
775
5.6
815
5.5


NHS Lanarkshire
1,220
6.8
1,294
6.6
1,256
6.5
1,358
6.3
1,525
6.9


NHS Lothian
1,190
6.0
1,460
7.6
1,571
7.8
1,614
7.4
1,529
7.4


NHS Orkney Islands
62
6.8
55
5.9
81
7.2
72
6.5
65
5.6


NHS Shetland Islands
74
7.3
69
6.6
64
5.9
59
5.6
65
5.8


NHS Tayside
823
7.1
803
7.0
867
7.4
852
7.2
867
7.0


NHS Western Isles
70
4.8
55
3.5
90
5.4
98
5.5
92
4.3


All Scotland
10,432
6.3
11,188
6.5
11,873
6.7
12,028
6.5
12,498
6.5



  Table 2: Number of discharges from a medical specialty for people aged 65 and over with a subsequent emergency readmission within 28 days, and hospital emergency readmission rate as a percentage of all discharges by NHS Board of Residence; calendar years 2005 to 2009P:

  

Emergency readmissions and % of total discharges
2005
2006
2007
2008
2009P


No.
%
No.
%
No.
%
No.
%
No.
%


 
1,804
9.5
2,113
10.8
2,473
12.8
2,335
12.1
2,361
11.9


NHS Ayrshire and Arran


NHS Borders
736
11.7
760
11.9
741
11.4
744
11.5
822
12.3


NHS Dumfries and Galloway
646
10.3
664
10.5
779
12.6
839
13.1
846
13.2


NHS Fife
1,415
8.7
1,559
9
1,890
10.9
1,775
10.2
1,802
10.4


NHS Forth Valley 
974
11.1
1,012
11.9
1,048
12.1
1,081
12.1
1,119
12.4


NHS Grampian
2,270
11.6
2,313
11.7
2,401
11.7
2,577
11.6
2,584
11.5


NHS Greater Glasgow and Clyde
6,236
10.6
6,898
11.2
7,407
11.6
7,666
11.6
7,818
11.5


NHS Highland
1,428
10.1
1,592
10.3
1,722
10.8
1,932
11.7
1,910
11.2


NHS Lanarkshire
2,531
9.6
2,756
10.2
2,975
10.4
3,126
10.8
3,358
11.5


NHS Lothian
3,244
11.2
3,951
13.1
4,393
14.1
4,092
12.7
4,197
12.5


NHS Orkney Islands
79
9.6
71
7
105
7
114
8.3
101
7


NHS Shetland Islands
69
10.6
91
14.1
67
11.2
83
12.4
66
11.3


NHS Tayside
1,775
10.1
1,884
10.8
1,945
11.4
2,107
11.7
2,165
13.2


NHS Western Isles
166
10.9
140
9.1
176
11
191
12.7
189
12.7


All Scotland
23,373
10.4
25,804
11.1
28,122
11.8
28,662
11.6
29,338
11.8



  Source: ISD Scotland.

  Notes:

  The basic unit of analysis for these figures is a continuous stay in hospital. Probability matching methods have been used to link together individual SMR01 hospital episodes for each patient, thereby creating "linked" patient histories. Within these patient histories, SMR01 episodes are grouped according to whether they form part of a continuous spell of treatment (whether or not this involves transfer between hospitals or even NHS boards).

  All discharges (defined as a continuous stay in hospital), which meet the selection criteria, are included in the analysis. Each discharge is then compared with the next admission to hospital for the same patient. If this subsequent admission occurs within 28 days of the date of discharge for the previous hospital stay and is coded as an emergency admission, it is selected as a relevant readmission.